Skull Base Surgery

Performing skull base surgery is extremely demanding because of the many important blood vessels and cranial nerves that pass through the anatomy. U.S. News & World Report ranks Beaumont among the top hospitals for complex surgery on the ear, nose and throat, as well as related areas of the head and neck.

Our team is staffed by a multidisciplinary team composed of:

  • neurosurgeons dedicated to skull base surgery
  • neuro-otologists
  • craniofacial surgeons with specialists in craniofacial plastic surgery and craniofacial ENT surgery
  • endovascular neuroendovascular specialist

On oncology cases, the skull base team also includes head and neck medical oncologists, nuclear medicine specialists and neuropathologists. This team participates actively in treatment planning through the tumor boards, including the Head and Neck Tumor Board and the Skull Base Tumor Board.

Beaumont is also in the planning stages for construction of a proton beam center, which will also be available for treating skull base tumors.


Whenever possible, Beaumont surgeons advocate the use of minimally invasive and image-guided surgical techniques. Along with intraoperative monitoring, these advanced procedures allow patients to spend less time in the operating room, spend less time in the hospital and recover more quickly. More importantly, these newer techniques minimize the risk of damage to cranial nerves, so that patients suffer fewer neurological deficits and have less risk of in deficits in vision, swallowing, and hearing.

Anterior skull base surgery emphasizes the resection of complex tumors in and around the brain, nose and eyes, with an emphasis on maintaining minimal disruption of the brain, and preservation of normal neurologic function and normal vision. Procedures include:

  • resections of skull base tumors, including subcranial resections for tumors involving the cranio-facial skeleton and air sinuses
  • reconstructions of cranio-facial defects, both pediatric and adult, due to congenital anomalies or trauma
  • transnasal endoscopic approaches to the skull base for resection of tumors in and around the pituitary gland

Lateral skull base surgery emphasizes resection of tumors in and around the skull base and ear with the focus on functional preservation and hearing preservation. Procedures include:

  • endoscopic lateral skull base surgery for acoustic neuromas focusing on hearing preservation
  • endoscopic surgery for trigeminal neuralgia
  • endoscopic surgery for hemifacial spasm
  • resection of tumors in and around the brain stem and the cranial nerves that control hearing, balance, facial movement, swallowing and speech

Skull Surgery Recovery and Inpatient Rehabilitation

In addition to excellent post-surgical inpatient care, Beaumont offers comprehensive rehabilitation staff and facilities to complement patients experiencing skull surgery recovery. Speech and language therapy may be needed for some patients.

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